2003 MPO Conference

Name:______________________________________________
Title:_______________________________________________
Organization:_________________________________________
Address:____________________________________________
City:________________________________State:___________
Phone:_____________________Fax:______________________
E-Mail:______________________________________________

Registration fee: $50.00 (please register by September 15, 2003)
Room rate: $55.00 (+ tax, per night)
1 Day only: $25.00 (please specify the day___________)
Awards dinner or luncheon only: $15.00 (please specify____________)

Radisson Hotel Roberts          
420 South High Street                  
Muncie, IN 47305                    
765.741.7777  
(Be sure to reference the MPO
Conference to receive your room
disconts)
Hotel Roberts Amenities
-   Indoor Pool
-   Hot Tub
-   Fitness Center
-   Flapper's Lounge
 

Mail completed form with registration fee to:

Delaware-Muncie Metropolitan Plan Commission
100 West Main Street, room 206
Muncie, IN   47305
Attention:  MPO Conference

Special dietary needs:___________________________________________